Genesis Physical Therapy and Wellness, LLC

Organization Active NPI Physical Therapist · Thibodaux, LA

NPI 1821553397 · NPPES record last updated Apr 3, 2025

Key facts

NPI
1821553397
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapist 225100000X
Legal business name
GENESIS PHYSICAL THERAPY AND WELLNESS, LLC
Practice address
1003 Saint Mary St
Thibodaux, LA 70301-6624
Phone
(985) 227-9116
Fax
(985) 227-9259
NPI assigned
Feb 8, 2019
Organization subpart
No

Authorized official

Name
Leo Hebert
Title
Billing Manager
Phone
(985) 447-7905

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in LA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20190613000056 LA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5193058733 Receives reassigned benefits from 2 practitioners
Practice locations: Thibodaux, LA

National Provider Directory

Locations

1000 Plantation Rd
Ste A
Thibodaux, LA 70301
Phone (985) 414-0586

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225100000X Yes

Addresses

Primary practice location

1003 Saint Mary St
Thibodaux, LA 70301-6624

Mailing address

PO Box 1137
Thibodaux, LA 70302-1137
Phone (985) 447-7905

Other providers in Thibodaux, LA

All providers in Thibodaux, LA · Physical Therapist in Louisiana

Sources for this page

Verify at the official NPI Registry.